<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Annotation"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table style="border: 0px; font-size: 11px; font-family: verdana; vertical-align: top;" cellpadding="0" border="0" cellspacing="0">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a title="The logical name of the element" href="formats.html#table">Name</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Information about the use of the element" href="formats.html#table">Flags</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Minimum and Maximum # of times the the element can appear in the instance" href="formats.html#table">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="formats.html#table">Type</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Additional information about the element" href="formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="formats.html#table">
                <img style="background-color: inherit" alt="doco" src="help16.png"/>
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img title="Element" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7"/> 
            <a title="Annotation : A  text note which also  contains information about who made the statement and when." href="datatypes-definitions.html#Annotation">Annotation</a>
            <a name="Annotation"> </a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"></td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="element.html">Element</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">Text node with attribution</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC"/>
            <img title="Choice of Types" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2Ck5XN/C1chEZieho8WXXA/2Gn4P39/W+y6V+l3qjP8Njt/lx2izxPYGyv51Oa1EJWZ////////yH5BAEAAB8ALAAAAAAQABAAAAWH4Cd+Xml6Y0pCQts0EKp6GbYshaM/skhjhCChUmFIeL4OsHIxXRAISQTl6SgIG8+FgfBMoh2qtbLZQr0TQJhk3TC4pYPBApiyFVDEwSOf18UFXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs="/> 
            <a title="Annotation.author[x] : The individual responsible for making the annotation." href="datatypes-definitions.html#Annotation.author_x_">author[x]</a>
            <a name="Annotation.author_x_"> </a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"></td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">Individual responsible for the annotation</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC"/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC"/>
            <img title="Reference to another Resource" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC"/> authorReference
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"></td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a> | 
            <a href="patient.html">Patient</a> | 
            <a href="relatedperson.html">RelatedPerson</a>)
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC"/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC"/>
            <img title="Primitive Data Type" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC"/> 
            <span title="A sequence of Unicode characters">authorString</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"></td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC"/>
            <img title="Primitive Data Type" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC"/> 
            <a title="Annotation.time : Indicates when this particular annotation was made." href="datatypes-definitions.html#Annotation.time">time</a>
            <a name="Annotation.time"> </a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">When the annotation was made</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)" class="hierarchy">
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg=="/>
            <img style="background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC"/>
            <img title="Primitive Data Type" style="background-color: white; background-color: inherit" alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC"/> 
            <a title="Annotation.text : The text of the annotation." href="datatypes-definitions.html#Annotation.text">text</a>
            <a name="Annotation.text"> </a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px" class="hierarchy">The annotation  - text content</td>
        </tr>

        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="formats.html#table">
              <img style="background-color: inherit" alt="doco" src="help16.png"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/Annotation"/>
  <name value="Annotation"/>
  <status value="draft"/>
  <publisher value="HL7 FHIR Standard"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2015-12-03T09:57:31+11:00"/>
  <description value="Base StructureDefinition for Annotation Type"/>
  <fhirVersion value="1.1.0"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="datatype"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <snapshot>
    <element>
      <path value="Annotation"/>
      <short value="Text node with attribution"/>
      <definition value="A  text note which also  contains information about who made the statement and when."/>
      <comments value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. 
This element may need to be included in narrative because of the potential for modifying information. 
*Annotations SHOULD NOT* be used to communicate &quot;modifying&quot; information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.author[x]"/>
      <short value="Individual responsible for the annotation"/>
      <definition value="The individual responsible for making the annotation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.participant[typeCode=AUT].role"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.time"/>
      <short value="When the annotation was made"/>
      <definition value="Indicates when this particular annotation was made."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.text"/>
      <short value="The annotation  - text content"/>
      <definition value="The text of the annotation."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Annotation"/>
      <short value="Text node with attribution"/>
      <definition value="A  text note which also  contains information about who made the statement and when."/>
      <comments value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. 
This element may need to be included in narrative because of the potential for modifying information. 
*Annotations SHOULD NOT* be used to communicate &quot;modifying&quot; information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.author[x]"/>
      <short value="Individual responsible for the annotation"/>
      <definition value="The individual responsible for making the annotation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.participant[typeCode=AUT].role"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.time"/>
      <short value="When the annotation was made"/>
      <definition value="Indicates when this particular annotation was made."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Annotation.text"/>
      <short value="The annotation  - text content"/>
      <definition value="The text of the annotation."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>